HomeMy WebLinkAboutW DRAKE RD - MINOR AMENDMENT - 8/12/1992B
a -
PLANNING DEPARTMENT
APPLICATION FORM
City of Fort Collins
Project Nam e:IQ- I A .C-io n .f D o�
Project Location (Street Address):
Project Description:
Today's Date: -- tl,=�— r/
Land Use Information:
Gross Acreage/Square Footage: _
Existing Zoning:
Proposed Use:
Total Number of Dwelling Units:
Total Commercial Floor Area:__
GENERAL I F RMATi N.
����^ •�. ,. Y��„ Q d� _ Y Applicant's Name: Consultant's Name:
Owner's Name: I /I aS "I Street S"� �' • Street Address: Street Address:
Street Address: �/� S'/1%•� �2A �� City, State, Zip: eA=AALQQ 17 J1 QL City, State, Zip:
City, State, Zip: nx / A- 4 , bs L� 810(A Telephone: Telephone:
TYPE OF REQUEST
Please indicate the type of application submitted by checking the box preceding appropriate request(s). Combined requests require the combined individual fees.
Make checks payable to the City of Fort Collins. Starred requests (') also require additional payment to Larimer County Clerk and Recorder in the amount noted.
Additional handouts are available explaining information requirements for each of the following review processes.
Extension of Final Approval
Fee: $50.00.
ree:. a)5D.uu -.
Non -Residential Use Requests in the R-H Zoning District
Fee: $85.00
Non -Conforming Use Requests
Fee; $110.00
Please sign certification on reverse .ride 5i91
Pi Tn A DMTNTCTIR ATTVT PU A lV021V
By.
Engineering
X CERTIFICATION
I certify the information and exhibits herewith submitted are true and correct to the best of my knowledge and that in filing the
application I am acting with the knowledge, consent, and authority of the owners of the property without whose consent and authority
the requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the
property for the purP9W of inspection andcif necessarv. for nostine a nufilic notice nn the eron,-xtu
Name:
Address:
Telephone: a L